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Home My WebLink AboutPermit Building 2008-6-30 CITY OF SPRINGFIELD Building/Combination Permit Status Issued PERMIT NO, COM2008-00791 ISSUED. 06/30/2008 APPLIED. 06/0412008 EXPIRES 12/3012008 VALUE $ 37,80000 225 F,fth Street. Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 InspectIOn Line SITE ADDRESS 645 G ST ASSESSOR'S PARCEL NO 1703351209900 Spnngfield TYPE OF WORK Single FamIly ReSIdence TYPE OF USE AdditIOn RcsldentIal PROJECT DESCRIPTION Master sUIte bath additIOn Owner MARK Sl EPHENS Address 645 G ST SPRINGFIELD OR 97477 Phone Number 541-345-1788 I CONTRACTORINFORMATION . Contractor Type General MechamcJI Plllmblng Contractor License ExpIratIOn Date Phone OWNER es 'IOU to OWNER ION Oregon laW requlr on Utlht'f DOUGLAS LEE JON~~~,~~:'I"S adopte~ b,/ ~r~~iEire set lortlll2/17l2009 I t~~f~!!j~1~3lUi;\;f~~tt~e9~~;SVbY In "may obtalO cop' h telephone 0091l<1l'9;lecentel, ~Note t e Not\tlcatl~t Slle' cw~oo.} ~o~on Utlht'f 44\ Sq Ft 1st Floor nlt9~~ ~GIIs 1-800.S32~ct{I'c Sq Ft 2nd Floor W Jter ype Sq Ft Basement RJnge Type Sq Ft GarJgelCarport Energy Path Path 1 Sq Ft Other Sprinkled Budding n/a" Occupant LOJd ~1f;"-<t:' 541-747-1254 # 01 Umts P"mJry Occupancy G, oup SecondJry Occupancy GI 0111' PllmJry ConstructIOn Type Secolldary ConstructIOn Type # of Bedrooms R-3 360 VB I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback Side 1 Setback 10 00 Side 2 SetbJck Rcaryard Setback SolJr Setbacks 000 Overlay Dlst # Street Trees Rqd P Jved Dnve Rqd % of Lot Coverage Total HJndlcapped Comp.lct Street Improvements Storm Sewer AvaIlable Special InstructIOn _ ,'11\\\\1- I PUBLIC IMPROVEMENTS I . f{1'?\\\~ \~ ~"\S \\0\ ~01\\i~~WI\\ ~~~i\\ ~~fO\\ ,\,\\S '?C\\\\lt.O \}~\\ \5 l'i~spouts/DrJlns [:..\j'\'\ ~t.~Ct.O 0 t.\\\0<:;)' CO,,^ ",COO O~ ? t-~'{ Notes Storm to eXisting sy~tem Paee I of 3 $PlilllllGI?IIl:L,D -1 ~ Status Issued 225 F,fth Slreel, Spnngfield, OR 541-726-3753 Phone 541-726-3676 F,IX 541-726-3769 InspectIOn Line Descl mtlOn Type of ConstructIOn Dwelhnes V Wood Frame Fee DescrIptIOn Pldn RevIew ResIdential ....Mechamcallssuance Fee~ + 100/0 Admmlstrahve Fee + 12% State Surcharge + 5% Technology Fee I Bath One & Two FamIly BUIlding Pel mlt MIUlmum/AdJustment Mechamcdl Pldn RevIew Minor - Planning Samtary Sewer - 1st 50 Feet Samtal1' Sewer - Improvement Samtal y Sewer - RelmbUl sement SDC SaUltdrylStorm Admin Storm Dnunage Impel VlOUS Ared Storm Sewer - 1st 50 Feet Vent Fan Water Line - Ist 50 Feet Total Amount PaId CITY OF SPRINGFIELD' Building/Combination Permit PERMIT NO, COM2008-00791 ISSUED- 06/3012008 APPLIED' 06/04/2008 EXPIRES 12'3012008 VALUE' $ 37,80000 I Valuation Descnnhon I $ Per Sq Ft or multIpher $10500 Squal e Footage or BId Amount 360 00 Value Date Cdlculated Total Value of Project $37,80000 $37,800 00 06/04/2008 FI'p<, P"d , Amount PaId Date PaId ReceIpt Number $21519 $20 00 $69 II $82 93 $40 35 $16000 $331 06 $43 00 $11600 $50 00 $224 44 $295 17 $32 90 $13841 $50 00 $700 $50 00 614/08 6130/08 6130108 6130/08 6/30/08 6/30/08 6/30/08 6/30/08 6/30108 6130/08 6130/08 6130/08 6130/08 6/30108 6/30108 6/30108 6/30/08 2200800000000000821 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 $1,92556 I Plan RevIews I Imtral Review 0610412008 06/0412008 APP NJM Public Works Rev,ew 06/04/2008 06/0612008 APP LKW Storm to eXlstmg system Planmn2 Review 0610412008 06/2412008 APP TAJ Structufdl Review 06104/2008 06/2712008 APP CJC To Request an mspectlOn call the 24 hoUl I ecordmg at 726-3769 All mspectlons requested before 7 00 a m will be made the same workmg day, mspectlOns requested after 7,00 a,m WIll be made the followmg work day Paee 2 of 3 CITY OF SPRINGFIELD - Building/Combination Permit Status Issued PERMIT NO, COM2008-00791 ISSUED 06'3012008 APPLIED 06/04/2008 EXPIRES 12/30/2008 VALUE' $ 37,80000 225 F,fth Street, SpllOgfield, OR 541-726-3753 Phone 541-726-3676 Fax 54 I -726-3769 InspectIOn LlIle ReollJred I"s"echo"s I FootlOg After trenches dre excavated FoundatIOn Aftel tOI ms are erected but pnor to concrete placement Post and Beam PnOl to floor IIIsulatlOn or decklOg Floor InsulatIOn P'IOI to deckmg Shear Wall Nalhng BefOl e covenng sheathlOg w,th limsh matenals FramlOg Inspecllon Pnor to cove, and after aliI ough 10 IOspecllons have been approved W dlllnsulatlOu PnOl to cover CeJllOg InsulatIOn P'lOr to cover 01 ywall PrIOr to t,'plOg FlOal BUlldlOg Aftel aliI eqUlred IOspectlOns have been requested and approved and the bUlldmg IS complete Rough Mechamcdl Pnor to Cover FlOal Mechamcal When all mechamcal work IS complete Rough PlumblOg PI lOr to cover dnd IOcludlOg I equlI cd testlOg FlOdl PlumblOg When all plumblOg work IS complete By "gndture, I state and dg'ee, that I have carelully eXdmlOed the completed apphcdtlOn and do bereby certify that dll ,"'ormatIOn hereon IS tl ue ,IUd correct, dud I further certify that any and all wor k performed sh.lI) be done III accorddnce With the Ordlllances of the CIty 01 Spnngfield and the Laws of the State of Oregon pertalOlOg to the work descnbed herelO, and thdt NO OCCUPANCY Will be made orauy structure w,thout permISSIOn 01 the Commumty Services DIVISIOn, BUlldlOg Safety I further certIfy thdt only contractors dnd employees who are 10 comphance w,th ORS 701 005 WIll be used on thiS project Ilu, the, agree to ensure thdt dll reqUired IOspectlOns dl e requested at the proper tIme, that each address ,s readable from the street, th,lt the perm't card IS located at the front of the property, and the approved ,et 01 plans w,lI remalO on the site dt dll tJrnes dunng constructIOn ~/ ~c___ 6- .fo- Of? OwnCJ or Conti actors Signature Date Pa2e 3 of 3 DIRECT RUNOFF TO CITY SlORM SYSTEM 1 IMPERVIOUS S F x I COST peR S F CHARGE I 40000 I $0346 I = I $13841 I RUNOFF ROUTED TO DRYWELL DESIGNED AND CONSTRUCTED TO CITY STANDARDS I IMPERVIOUS SF I x I COST PER S F I x I DISCOUN r RATE I I I 000 I $0346 I I 50% ~I ITEM I TOTAL - STORM DRAINAGE SDC $13841 2 SANITARY SEWER - c:JTY A RLIMBURSEMENT COST I NUMBER OF DFU's 1 x I II I JOURNAL OR JOB NUMBER NAME OR COMPANY LOCATION TAX LOT NUMBER DEVELOPMENT TYPE NEW DweLLING UNITS I STORM DRAINAGE B IMPROVEMENT COST 1 NUMBER Of DFU's I x I II I CITY OF SPRINGFIELD SYSTEMS DEVELOPMENT WORKSHEET Ie ICJ 10 ,u (:t!, LiI f-< '" G ~ COM2008-00791 Mark Stephens 645 G Street 1703351209900 Sm/!,le FaImlv ReSidence o BUILDING SIZE (SF 360 LOT SIZE (SF) 5663 , I DISCOUNT $000 $13841 11070 COST PER DFU $26 83 $295 17 11091 I $224 44 I 1092 J COST PER DFU $20 40 3 TRANSPORTATION ITEM 2 TOTAL - CITY SANITARY SEWER SDC =1 $51961 A REIMBURSEMENT COST I ADTTRJP RATE I x I NUMBER OF UNITS 1 x 1 COST PER TRJP x INEW TRJP F ACTORI I 957 I 0 1 1 2043 I 100 I $000 11093 B IMPROVEMENT COST I ADTTRJP RATE I x I NUMBER OF UNITS I x I COST PER TRJP x/NEW TRlP FACTORI 1 957 I o 1 I $9010 1 100 1 $000 1094 ITEM 3 TOTAL - TRANSPORTATION SDC = I $000 4 SANITARY SEWER - MWMr: A REIMBURSEMENT COST INUMBER ~F FEU's I x ICOST PER FEU 1 $9535 = $000 1054 B IMPROVEMENT COST INUMBER OF fEU's I x ICOST PER FEU 1 0 1 I $990 39 = $000 :1105;, MWMC CREDIT IF APPLICABLE (SEE REVERSE) $000 I 1054 MWMC ADMINISTRATIVE FEE $000 1056 ITEM 4 TOTAL - MWMC SANITARY SEWER SDC = I $000 I SUBTOTAL (ADD ITEMS 1,2,3, & 4) ~ , $658 02 1 j' 5 ADMINISTRATIVE FEE I SUBTOTAL x 1 ADM FEE RATE I~ CHARGE I $658 02 I 5% I $32 90 TOTAL SANITARY ADMINISTRATION FEE 3290 11079 1 OTAL TRANSPORTATION ADMINISTRATION FEE $000 J 1078 Kaye Wilson 6/5/2008 TOTAL SDC CHARGES $690 92 ] PREPARED BY DATE .---.-, DRAINAGE FIXTURE UNIT (DFU) CALCULATION TABLE NUMBER OF NEW FLXTIJRES x UNIT CQUlV ALENT = DRAINAGE FIXTIJRE UNITS II (NOTE FOR REMODELS CALCULA TC ONI Y THE NET ADDlTlQNAL FIXTURES) NO OF FIXTURCS DRAINAGE I UNIT FIXTURE FlXTIJRE TYPE NEW OLD EQUIVALENT UNITS !BATHTUB 1 0 3 ~ 3 I IDRlNKlNG FOUNTAIN 0 0 1 ~ 0 .\ IFLOOR DRAIN 0 0 3 ~ 0 IINTERCEPTORS FOR GREASE / OIL / SOLIDS / ETC 0 0 3 ~ 0 I IINTERCEPTORS FOR SAND / AUTO WASH / ETC 0 0 6 ~ 0 1 ILAUNDRY TUB 0 0 2 ~ 0 1 ICLOTIIESWASHER / MOP SINK 0 0 3 ~ 0 ,I ICLOTHESWASHER - 3 OR MORE (EA) 0 0 6 ~ 0 iMOBILE HOME PARK TRAP (1 PER TRAILER) 0 0 12 ~ 0 IRECEPTOR FOR REFRJG / WATER STATION i ETC 0 0 1 ~ 0 IRECEPTOR FOR COM SINK / DISHWASHER / CTC 1 0 3 ~ 3 ISHOWER SINGLE STALL 0 0 2 ~ 0 I SHOWER GANG (NUMBER OF HEADS) 0 0 2 ~ 0 ISINK COMMERCIAURESIDENTIAL KiTCHEN 0 0 3 ~ 0 ISINK COMMERCIAL BAR 0 0 2 ~ 0 ISINK WASH BASINIDOUBLE LAVATORY 1 0 2 ~ 2 I SINK SINGLE LA V A TORY /RESIDENTIAL BAR 0 0 1 ~ 0 URINAL. STALL / WALL 0 0 5 ~ 0 ITOILET. PUBLIC INSTALLAfION 0 0 6 ~ 0 lTOILET. PRIV ATE INSTALLATION 1 0 3 ~ 3 MISCELLANEOUS DFU 1 YPE NUMBER OF EDO'S 20 ~ 0 TOTAL DRAINAGE FIXTURE UNITS 11 ~DU (cQUlvalent Dwelling Umt) IS a dIscharge eqUIvalent to a smgle family dwellmg umt (20 DFU's) set at 167 gallons per day MWMC CREDIT CALCULATION TABLE BASED ON COUNTY ASSESSED VALUE [ YEAR ,CREDIT RATE/$I,OOO ANNEXED ASSESSED VALUE IS LAND ELGIBLE FOR ANNEXATION CREDIT" 2 I BEFORE 1979 $529 (Enter I fnr Yes, 2 for No) I 1979 $529 IS IMPROVEMENT ELGIBLE FOR ANNEX CREDIT" 2 1 1980 $519 (Enter I for Yes, 2 for No) 1 1981 $512 BASe YEAR 1979 1 1982 $498 1 1983 $480 CREDI r FOR LAND (IF APPLICABLE) 1 1984 $4 63 VALUE /1000 CREDIT RATE II 1985 $440 $000 x $529 ~I $000 1986 $4 07 1987 $367 CREDIT FOR IMPROVEMENT (If' ArTeR ANNEXATION) I 1988 $322 VALUE I 1000 CREDIT RATE 1 1989 $273 $000 x $529 ~, 0 [' 1990 $225 1991 $180 1992 $159 TOTAL MWMC CREDIT ~ $000 1993 $145 I 1994 $125 I 1995 $109 I 1996 $092 1997 $072 'I 1 1998 $048 I 1 1999 $028 1 2000 $009 , ,[ 200\ $005 I 225 FIfth Street Sprmgfield, Oregon 97477 541-726-3759 Phone CIty of Sprmgfield OfficIal ReceIpt Development Servlccs Department PublIc Works Department Job/Journal Number COM2008-0079I COM2008-00791 COM2008-00791 COM2008-00791 COM2008-0079I COM2008-0079I COM2008-00791 COM2008-0079! COM2008-0079I COM2008-0079I COM2008-00791 COM2008-0079I COM2008-0079I COM2008-00791 COM2008-0079! COM2008-0079I Pdyments Type of Payment CredltCard CRLCClOt] RECEIPT #, 2200800000000000985 Date' 06/30'2008 DescriptIOn Stann Drainage ImpervIOus Area SDC Samtary/Stonn Admm Sanitary Sewer - Reimbursement SaOltmy Sewer - Improvement Plan Review Mmor - Plannmg Bulldmg Pel1TIlt I Bath One & Two Family San nary Sewer - I sl 50 Feet Water Lme - 1st 50 Feet Stann Sewer - 1st 50 Feet Vent Fan Mmlmum! Adjustment Mechamcal -Mechamcallssuance Fee~ + 5% Technology Fee + 12% State Surcharge + 10% Administrative Fee PaId By MARK STePHENS Item Total Check Number AuthOrization RClClVcd By Batch Number Number How Received dJb 1I036C In Person Payment Total Page 1 of I 93539AM Amount Due 13841 3290 295 17 224 44 11600 33106 16000 5000 5000 5000 700 4300 2000 4035 8293 69 II $1,7]037 Amount Paid $1,71037 $],7]037 6/30/2008 -~~ \ o.-{ If6 -y'~ ,.n ~Q')\\ ' CITY OF SPRINGFIELD Building/Combination Permit PERMIT NO. COM2008-00791 ISSUED 06/30/2008 APPLIED. 06/04/2008 EXPIRES: 01/21/2009 VALUE: $ 37,800,00 Status Issued 225 F,lth Street, Sprmgfield, OR 541,726-3753 Phone 541,726-3676 Fax 541-726-3769 InspectIon Lme SITE ADDRESS: 645 G ST ASSESSOR'S PARCEL NO 1703351209900 Sprmgfield TYPE OF WORK Smgle Famtly ReSIdence TYPE OF USE AddItIon ReSIdentIal PROJECT DESCRIPTION Master smte hath addItIon Owner Address MARK STEPHENS 645 G ST SPRINGFIELD OR 97477 Phone Nnmher 541-345-1788 , CONTRACTOR INFORMATION I Contractor Type Contractor LIcense ExpiratIon Date Phone General OWNER ElectrIcal REYNOLDS ELECTRIC 17252 02/08/2009 541-343-7297 Mechamcal OWNER Plnmbmg DOUGLAS LEE JONES 104606 02/17/2009 541-747-1254 BUILDING INFORMATION I # of UllIts PrImary Occupancy G. oup Secondary Occupancy Group PrImJry ConstructIon Type Secondary ConstructIOn Type # of Bedrooms VB # ot StorIes HeIght of Structure Type of Heat Water Type Range Type Energy Path SprInkled Bmldmg Lot SIze Sq Ft 1st Floor ElectrIc Sq Ft 2nd Floor Sq Ft Basement Sq Ft Garage/Carport Path I Sq Ft Other n/a OccupJnt Load 360 R-3 I DEVELOPMENT INFORMATION. REQUIRED PARKING Frontyard Setback SIde 1 Setback S,de 2 Setback Rearyard Setback Solar Setbacks 000 Overlay DlSt Total # Street Trees Rqd HandIcapped Paved DrIve Rqd Compact % of Lot Coverage ATTENTION Orp(1on law re'" IIrpo ynu to follow r~11C3 adJpLL'l by l 3 Ujt.~...n Ul!~ltY,_ - .. 'ton ~enl8r I' ,)::::.t. I <..P...) '-',.......,~ ....ft.. I PUBLIC IMPROVEM~N'tSI"~52'OOl'0010 ,110Ugil 0: r; 852,001- 0090 You Srd'l'>.dlk1fypeDle~ of the rules by calling tlW center (I~oto the telephone number f6t<mllse?~lJL.\lraIn$Y i'\atltlcatlon Center IS 1.bOO,332.2344) 1000 Street Improvements Storm Sewel A V~IJ,.llllf SpeCIal InstructIbtl.! ICE: TH!? PERMIT SHALL EXPIRE IF THE WORK Notes Storm'tblexi'!W!g:~tt'JIJDER THIS PERMIT IS NOT ,~ "'I: ICF[1 C- c,' ,j I;: M'",".'OI'cD FOR ~ """1 .....""l - Page 1 of3 Status Issued 225 FIfth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 FAx 541-726-3769Inspechon Lme DeScriptIOn Tvpe of ConstructIOn Dwelhngs V Wood Frame Fee DescriptIOn Plan RevIew Resldenhal -Mechamcallssuance Fee- + 10% AdmlmstratlVe Fee + 12% State Surcharge + 5% Technology Fee I Bath One & Two FamIly BUlldmg PermIt MmlmumlAdJustment Mechamcal PIAn ReVIew Mmor - Plannmg Samtary Sewer. 1st 50 Feet Samtary Sewer - Improvement Samtary Sewer - ReImbursement SDC SAmtArylStorm Admm Storm DrAmAge ImpervIOUs Area Storm Sewer - 1st 50 Feet Vent Fan Water Lme - 1st 50 Feet -+- 100/0 AdmlDlstratlve Fee + 12% State Surcharge + 5% Technology Fee Add, Alter, Extend CIrc Ea Add Perm ServlFdr 200 amps or less Total Amonnt PaId CITY OF SPRII'llJl'IELD' Building/Combination Permit PERMIT NO' COM2008-00791 ISSUED, 06/30/2008 APPLIED: 06/04/2008 EXPIRES: 01/21/2009 VALUE: $ 37,80000 I ,ValuatIon DescrlOtIon I $ Per Sq Ft or multIplIer $105 00 Square FootAge or BId Amouut 360 00 Value Date Calculated Total Value of Project $37,800 00 $37,800 00 0610412008 J{p:p:~,~ Amount PaId Date PaId ReceIpt Number $21519 $20 00 $69 II $82 93 $40 35 $16000 $33106 $43 00 $11600 $50 00 $224 44 $295 17 $32 90 $13841 $50 00 $700 $50 00 $1520 $1824 $7,60 $1200 $14000 614108 6130108 6130108 6130108 6130108 6130108 6130108 6/30108 6130/08 6/30108 6130108 6130108 6130/08 6130108 6130108 6130108 6130108 7121/08 7121/08 7121/08 7121108 7121108 2200800000000000821 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000000985 2200800000000001119 2200800000000001119 2200800000000001119 2200800000000001119 2200800000000001119 $2,11860 , Plan Reviews , Imt..1 ReVIew 0610412008 0610412008 APP NJM PublIc Works ReVIew 0610412008 0610612008 APP LKW Storm to eXlstmg system PIAuumg ReVieW 0610412008 06124/2008 APP TAJ Structural ReVIew 0610412008 0612712008 APP CJC Page 2 of 3 -~ CITY OF SPRINGFIELD' Building/Combination Permit Status Issued PERMIT NO: COM2008-00791 ISSUED. 06/30/2008 APPLIED: 06/04/2008 EXPIRES 01/21/2009 VALUE: $ 37,800,00 225 Fifth Street, Spnngfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769Inspechon LlOe To Request an mspectlOn call the 24 hour recordmg at 726-3769. All mspections requested before 7:00 a,m. wIll be made the same working day, mspections requested after 7:00 a.m. WIll be made the following work day Renu,ired lns~ectif!n~ , FootlOg After trenches are excavated Foundahon After forms are erected but pnor to concrete placement Post and Beam Pnor to floor IllsulatlOn or decklOg Floor InsulatIOn Pnor to decklOg Shear Wall NaIllOg Belore covermg sheathmg wIth fimsh matenals Frammg Inspechon Pnor to cover and after dll rough 10 mspectlOns have been approved Wall InsulatIOn Pnor to cover CeIlmg InsulatIOn Pnor to cover Drywall Pnor to tdpmg FlOal BUlldmg After all reqUIred mspectlOns have been requested and approved and the buIldmg IS complete Rough Mechamcal Pnor to Cover Fmal Mechamcal When all mechamcal work IS complete Rough Plumbmg Pnor to cover and mclndmg reqUIred testlOg FlOal PlumblOg When all plumblOg work IS complete Rough Electnc Pnor to Cover Fmal Electnc When all electncal work IS complete. Electnc ServIce Approval reqUIred pnor to uhhty company energlZmg service By sIgnature, I state and agree, that I have carefully exammed the completed apphcahon and do hereby cerhfy that all mtormatlOn hereon IS true and correct, and I further cerhfy that any and all work performed shall be done 10 accordance With the Ordmances ot the CIty of Spnngfield and the Laws of the State of Oregon pertammg to the work descnbed herem, and thdt NO OCCUPANCY Will be made ot any structure WIthout permISSIOn of the Commumty ServIces DIVIsIOn, BuIldmg Safety I further cerhfy that only contractors and employees who are 10 comphance WIth ORS 701 005 wIll be used on thIS project I further agree to ensure thdt all reqUIred mspectlOns are requested at the proper hme, that each address IS readable from the street, that the permIt card IS located at the front ofthe property, and the approved set of plans wIll remam on the sIte at all hmes dunng construction Owner or Contractors SIgnature Date Paee 3 of3 City of Sprmgfield ElectrIcal AuthorIzatIOn To Begm Work E~malled To dan@reynoldselectnc com ReceIpt # EC534390 7/21/20081 49,00 PM Check on status of permIt By Phone (541)726-3753 or Emall permltcenter@clsprmgfieldorus I I FEE SCHEDULE ' I DescriptIOn l Qty Ea Total I Residential SINqLF - OR .!!1~tl-!,!"!II>:~1';\;\lh~g~~~}t-Inclu~esF Ittached garage -~ ;;; _, ~ "" ,,- ::---""':,^ b" ~, I OOO'q ~ ml", I I I Ea addl 500 sq ft or portion Limited Energy I LImited energy resrdentmJ (with above Sq ft) LImited energy multlfmmly residential (with above SQ n) Lllmted energy, commercia] (with above SQ ft) I - Stand-alone limIted energy, residential I - Stand-alone limited energy, multl-famllv I . Stand alone limited energy, cOmmtrLla] I Se~lces OR fu~den. mstallilhon,-l!!te'r!lh2~ AND/OR re!o-cahon I 200 'mps 0' Ie" I 21 $70001 $14000 120] amps to 400 amps 140 I 'mpsto 599 .mps I I I I TEMPORARY Wr'VICc,!, OR feeders installation, .alteration, AND/OR relocation, , 1200 amps or less I 1201 amps to 400 amps J 401 amps to 599 amps 1 1 Brunch clrculb ~ NEW, .ilteraholl, OR exten;lon, per panel I A fee for branch CirCUits with 3 $400 service or ftedcr fee each branch "'lrcUlt I B Fee for branch ClrCUlls without ~ervlce or feeder fee first branch clrculL I c<lLh add! branch CHCUlt Il\-li~eellaneolls '^^ 1 Service reconnect only I Each manufactured or modular dwell m,g, servIce and/or feeder 1 Pump or IrrigatIOn CIrcle 1 Sign or out]me llghtmg I Signa] clrcult(s) or Itmltcd- energy pane] alteratIOn, or extenSIOn ELECTRICAL'PERMI! F,EES, ~, 2 Subtotal I $15200 ~tate Surcharge (12% of penn It fee) $]824 CIty OfSpnngfield fees ~ $22 80 TO n, IITFll[ $19304 I pr:n91~ees, Ivi'O LUL:dl f\ m tee, 5% Local Technology TYPE OF WORK I D New constructIOn [X] AdditIOn/alteratIOn/replacement CATj;GORY OF CONSTRUCTION I [K] I or 2 famIly dv.ellmg D Multi family D Commercia] /Industna] I JOEl SITE INFORMATION AND,LOCATION I Job no [9739 I Job address 645 G ST IOty/Stlltel7IP SPRINGfiELD OR 97477-4048 I SUlte/bldg /.lpt no I Project lIame Mark Stephens Centenmallo 6th ro G St Cross street/directions to Job Sltt I SubdiVIsion I Tax m.lp/parcel no 1 Lot no 1703351209900 DESCRIPTION OF WORK Relocate ServIce and" Irt.. new uddlllOn I I I I I I I $12001 I SITE CONTACT JName IPhone I Em.ld d,n Il<.Ill 343-7297 (541) 343 7297 dan@reyno[d~e[ectnc com CONTRACTOR IH hc no 20 155C ICCBhc no 1 BUslIless N.lme REYNOLDS ELECTRIC INC I Cont'lct Dan Boaz IAddre.!>s 2]75 W2NDAVE City/Stall/ZIP EUGENE OR 97402 I Phono (541 )3437297 'Fmall dan@reyno]dse]ectnc com I Metro hc no I Supcn. ISlOg electrician's he no 2520S I Supcn. ISlOg electrician's name JOHN A REYNOLDS, JR 11252 I Fax (541 )3454808 1 Caty hc no 25205 not offered onlme at thIS JunsdlctlOn I I I 1 L ~.,,) COM. CJ..- M~o-- RCPT#.~8,()lJt: - 111'1 -/ _ "'l / --c)?" DATE PROCESSED' I' 'C"f PROCESSciJ"i~.k )('.(.}r> . ThiS Authorization To Begin Work mu ;t be posted at tljk,lOh ~lt8 I In!" ~a~laElod JY a Permit Upon review and approval by your local jUriSdiction, your permit Will be e mailed or faxed wlthm one busmess day, with Instructions on how to schedule your inspection NOTE ThIS AuthorizatIon To Begin Work eXpIres wlthm 180 days .f a permit IS not obtamed The local bUilding department may determine that an Authorization To Begm Work IS null and vOid If It does not Illeet applicable land use laws and local ordmances 225 Fifth Street Spnngfield, Oregon 97477 541-726-3759 Phone ~.IN<!fI~ ,"I~I~. ./ :'.A~ ~, City of Sprmgfield OfficIal Receipt Development Services Department Public Works Department Job/Journal Number COM2008-0079 I COM2008,0079 I COM2008-00791 COM2008-00791 COM2008,00791 Payments Type of Payment ONLINE CHGS cRecelOtl RECEIPT #, 2200800000000001119 Date: 07/2112008 Description Penn ServlFdr 200 amps or less Add, Alter, Extend CIfC Ea Add + 5% Technology Fee + 12% State Surcharge + 10% AdmInistrative Fee Paid By ONLINE PERMIT CHGS Item Total Check Number AuthOrizatIOn Received By Batch Number Number How Received ONLINE reynolds OnlIne Payment Total nJm p Page 1 of 1 2 58 09PM Amount Due 14000 1200 760 1824 1520 $193 04 Amount Paid $193 04 $19304 7/21/2008